| Andrew Keith Mazur, DPT | |
|
24430 Stone Springs Blvd Ste 400, Dulles, VA 20166-2268 | |
| (703) 776-5040 | |
| (703) 776-5047 |
| Full Name | Andrew Keith Mazur |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 24430 Stone Springs Blvd Ste 400, Dulles, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902899719 | NPI | - | NPPES |
| 1902899719 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2502 (New Mexico) | Secondary |
| 225100000X | Physical Therapist | 2305205338 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Physician Partners Llc | 2466581772 | 311 |
| Provider Name | Inova Physician Partners Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20110519000499 |
| Provider Name | Privia Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Keith Mazur, DPT Po Box 37189, Baltimore, MD 21297-3189 Ph: (571) 423-5699 | Andrew Keith Mazur, DPT 24430 Stone Springs Blvd Ste 400, Dulles, VA 20166-2268 Ph: (703) 776-5040 |
Mrs. Jennifer Williams Culak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 Gaborone Pl Apt 14, Dulles, VA 20189 Phone: 361-548-9447 | |
Julie A Bobbitt, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5770 The Hague Pl, Dulles, VA 20189 Phone: 727-230-9655 |